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Superior accessory fissure

Dr Yair Glick ◉ and Dr Eric F Greif et al.

The superior accessory fissure is present in around 5% of individuals examined with CT ⁴.

On this page:

Article:

Gross anatomy
Radiographic features
Differential diagnosis
Related articles
References

Images:

Cases and figures

Gross anatomy

The superior accessory fissure of the right l ower lobe is located in the same plane and posterior to the right minor fissure. It separates the right lower lobe into superior and basal segments. This superior segment is called the posterior or dorsal lobe.

The fissure varies in length from complete to incomplete fissure ^1,2. The incidence is greater with right lung involvement and less common than an inferior accessory fissure ¹.

Radiographic features

Plain radiograph

Frontal chest radiographs demonstrate a thin horizontal linear opacity projecting below, parallel, and medial to the right minor fissure. The lateral radiograph demonstrates a thin line posterior to the right minor fissure, usually in the same plane and in a horizontal or oblique orientation. It may look like a continuation of the right minor fissure posteriorly, which separates the right lower lobe into superior and inferior segments ^1,2.

Differential diagnosis

Consider:

pleural-parenchymal scarring

References

Anatomy: Thoracic

thoracic skeleton
- thoracic cage
  - ribs
    - typical ribs
    - atypical ribs
    - variant anatomy
      - bifid ribs
  - costal cartilage
  - sternum
- thoracic spine
- articulations
muscles of the thorax
spaces of the thorax
thoracic viscera
blood supply of the thorax
- arteries
  - thoracic aorta (development)
  - pulmonary trunk
    - left pulmonary artery
      - aberrant left pulmonary artery
    - right pulmonary artery
- veins
  - superior vena cava (cavoatrial junction)
  - inferior vena cava
  - coronary veins
    - cardiac veins which drain into the coronary sinus
      - great cardiac vein
      - middle cardiac vein
      - small cardiac vein
      - posterior vein of the left ventricle
      - vein of Marshall (oblique vein of the left atrium)
    - anterior cardiac veins
    - venae cordis minimae (smallest cardiac veins or thebesian veins)
  - pulmonary veins
    - bronchial veins
lymphatics
innervation of the thorax

Chest

Article information

rID: 26525

System: Chest

Section: Anatomy

Tag: accessory fissures of the lung, cases, variant

Synonyms or Alternate Spellings:

Superior accessory fissures

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Cases and figures

Figure 1: annotated imageFigure 1: annotated image

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Case 3Case 3

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